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Tie-over bandage: Photo 1

This tie-over bandage involves placing multiple, loose, simple interrupted sutures into the healthy skin bordering the wound. These sutures will provide the loops to which the bandage will be secured, and should be placed 3mm to 4mm from the wound edge.

It is best to use a large (0 or 2-0) monofilament suture with good knot security. The dressing is applied to the wound bed. The protective outer layer is then secured by lacing umbilical tape through each of the preplaced loops. The tape is tied to itself to provide a firmly attached bandage.This photo shows a difficult inguinal wound.